Abstract The study investigated how the Physiotherapy undergraduate courses take into consideration the teaching of Primary Health Care within the context of the expansion of the Family Health Strategy, taking as reference the Brazilian National Syllabus Guidelines for Undergraduate Courses in Physiotherapy. We analyzed 10 out of the 14 Physiotherapy courses accredited by the Brazilian Ministry of Education that were being offered in the city of Rio de Janeiro at the time of the research. We interviewed the ten course coordinators and analyzed the documents regarding the teaching and the syllabus. The collected data indicate that two courses followed the Syllabus Guidelines by offering activities and/or disciplines and supervised internships in Primary Health Care, with a redistribution of the credit hours, and activities involving assisted practices and extension. Seven courses had implemented partial syllabus changes, but they did not incorporate other recommendations of the Syllabus Guidelines, especially the inclusion of Primary Health Care disciplines or modules, and did not offer training opportunities in Family Health units. One course had not implemented the Guidelines. The coordinators mentioned difficulties in developing a participatory syllabus. We concluded that we observed a significant progress in the incorporation of Primary Health Care in the analyzed syllabuses, and we discuss some of the obstacles in the implementation of the National Syllabus Guidelines.